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一、关于诊断及进一步检查的问题本例有以下特点:(1)年青女性患者,不规则发热,面部及下肢浮肿,蛋白尿一年余;(2)食后有恶心、呕吐等消化道症状;(3)口唇、鼻腔及粘膜出血,皮肤有瘀斑;(4)腰痛、腿痛及双肩部痛,不红肿;(5)听力减退;(6)治疗过程中出现抽搐;(7)严重贫血,血小板减少,血沉加快,γ球蛋白升高明显。根据以上特点,在诊断上应考虑如下疾病。
First, on the diagnosis and further examination of the problem This example has the following characteristics: (1) young female patients, irregular fever, facial and lower extremity edema, proteinuria more than a year; (2) after eating nausea and vomiting and other gastrointestinal symptoms ; (3) bleeding in the lips, nose and mucous membranes, ecchymosis of the skin; (4) low back pain, leg pain and shoulder pain with no swelling; (5) hearing loss; (6) convulsions during treatment; Anemia, thrombocytopenia, ESR, γ-globulin increased significantly. According to the above characteristics, in the diagnosis should consider the following diseases.